Stephen  W  Samelson    MD
Contract Details
Southern Orthopaedic Surgeons
Facility name
Provider ID
P000001538
NPI
1265492441
Tax ID
631178354
Effective Date
11/6/2000
Last Updated
8/28/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2119 East South Boulevard Suite 200
Montgomery, AL 36116
United States
County
Montgomery
Phone
3346139000 (Phone)
Billing Details
Address
Specialty Type
Surgery, Orthopedic
Map
Address